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Rural women with postpartum depression: Their views on services and interventions.

机译：有产后抑郁症的农村妇女：她们对服务和干预的看法。

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摘要

Postpartum depression (PPD) is a universal mental health issue affecting up to 19% of new mothers within the first three months after birth (Beck, 2008a). Despite abundant research, PPD remains poorly defined, findings are inconsistent regarding prevention and treatment strategies, the dearth of qualitative research leaves many questions unanswered (Beck, 2008a, 2008b; Registered Nurses of Ontario [RNAO], 2005), Canadian studies are under-represented and rural context is scarcely addressed.;Thus, this qualitative study describes and explores the perceptions of 12 rural women from north-eastern Ontario who self-identified as having PPD on the accessibility, adequateness, and appropriateness of services and interventions for PPD. Services for PPD were most often inaccessible, unavailable and inadequate. Barriers and bridges to access, support services needed, and the appropriateness of services accessed were described. Being depressed and rural, fear of stigma, and inadequate emotional support posed significant barriers whereas self-identifying with PPD, family support and professional awareness were essential to access. They needed trained volunteers, mentors, emotional support from family and government funding to meet their basic need for self-care. They recognized the need to recruit and retain professionals, provide them with opportunities for continued education, and make changes to hospital services through a person-centered, partnership model of care. Their struggle to connect, bridge service gaps, and overcome their discouragement with inadequate treatment led to their development of inner strength and rural resilience. They value creative approaches to PPD, involving mentors and storytelling. The findings have significant implications for nursing education, rural nursing practice, policy development and future research.
机译：产后抑郁症（PPD）是普遍存在的心理健康问题，在出生后的前三个月内影响多达19％的新妈妈（Beck，2008a）。尽管有大量的研究，但PPD的定义仍然不明确，关于预防和治疗策略的发现不一致，缺乏定性研究仍未解决许多问题（Beck，2008a，2008b；安大略省注册护士[RNAO]，2005），加拿大的研究不足-因此，本定性研究描述并探索了安大略省东北部的12名农村妇女的自我认知，她们自认为患有PPD时对PPD的服务和干预措施的可及性，适当性和适当性。 PPD的服务通常是无法访问，不可用和不足的。描述了访问的障碍和桥梁，所需的支持服务以及所访问服务的适当性。处于沮丧和农村的人们，对污名的恐惧和情感支持不足构成了重大障碍，而获得PPD的自我认同感，家庭支持和专业意识对于获取这些信息至关重要。他们需要训练有素的志愿者，导师，家庭和政府资助的情感支持，以满足他们对自我保健的基本需求。他们认识到有必要招募和保留专业人员，为他们提供继续教育的机会，并通过以人为本的伙伴关系护理模式改变医院的服务。他们为联络，弥合服务差距和克服因不当待遇而灰心的斗争，导致了他们的内在力量和农村适应力的发展。他们重视PPD的创新方法，包括导师和讲故事。这些发现对护理教育，农村护理实践，政策制定和未来研究具有重要意义。

著录项

  • 作者

    Boucher, Annie.;

  • 作者单位

    Laurentian University (Canada).;

  • 授予单位 Laurentian University (Canada).;
  • 学科 Health Sciences Mental Health.;Health Sciences Nursing.;Health Sciences Obstetrics and Gynecology.
  • 学位 M.Sc.
  • 年度 2011
  • 页码 211 p.
  • 总页数 211
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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